Revenue cycle teams are stretched thin. Denials are increasing, hiring is more difficult and administrative workloads continue to grow. Many organizations are dedicating substantial time to denial management and rework, limiting their ability to focus on strategic initiatives. This guide…
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Two Sutter Health facilities, including an ASC, have agreed to pay $3.2 million to resolve allegations of failing to guard against the theft and diversion of controlled substances, the Justice Department said in a March 26 news release. Sutter Medical…
Providers are paying closer attention to how — and how quickly — they get paid. Every delay, reconciliation issue or administrative hurdle contributes to a growing burden that affects how providers engage with payer organizations. Forward-looking payers are responding by…
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Despite policy efforts to increase reimbursement, spending per Medicare beneficiary on primary care physicians fell from $438 in 2017 to $420 in 2023, according to a March report published in Health Affairs. Here are 10 things to know: 1. Primary…
Anesthesia coverage is emerging as one of the most critical and fragile operational pillars for ASCs. ASC leaders repeatedly cite the convergence of workforce shortages, reimbursement pressure and rising expectations around access and efficiency as threats to anesthesia reliability. What…
In December 2025, HHS, alongside the Labor and Treasury departments, proposed significant updates to healthcare price transparency rules. Comments for the proposed updates were due by March 2, 2026, and the proposals will take effect 12 months after the rules…
Legislators in Tennessee have delayed a vote on a bill that would loosen the state’s certificate-of-need laws, the TimesNews reported March 30. The vote was originally set for March 30. Its sponsor, state Representative Johnny Garrett, a Republican from Goodlettsville,…
Orthopedics is driving some of the fastest growth in ASCs, but for many operators, higher volume is not translating into stronger margins. Behind the shift of joint and spine cases into outpatient settings, ASC leaders say a range of hidden…
As outpatient surgery continues its rapid migration from hospitals, a tension is emerging: the same payers pushing care into lower-cost settings are also making it harder to deliver it. From prior authorization delays and denials to shifting federal policy and…
Phoenix-based Cardiovascular Consultants has agreed to pay $3.85 million to settle a class action lawsuit related to a 2023 data breach, according to a March 30 report from Claim Depot. In September 2023, the practice became aware of a cybersecurity…
